Provider Demographics
NPI:1477529634
Name:KHUC, KRISTINE TO-HAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:TO-HAN
Last Name:KHUC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7427 MASON LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3516
Mailing Address - Country:US
Mailing Address - Phone:703-573-3999
Mailing Address - Fax:
Practice Address - Street 1:401 CARPENTER ROAD
Practice Address - Street 2:BLDG 525
Practice Address - City:FT MYER
Practice Address - State:VA
Practice Address - Zip Code:22211-1009
Practice Address - Country:US
Practice Address - Phone:703-696-3540
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist